| Organization Name: | ISLAND HOME CARE AGENCY, INC |
| NPI Number: | 1255393195 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH PIERRO (OWNER/PHARMACIST) |
| Mailing Address: | 193 Montauk Hwy Speonk |
| State: | NY US |
| Postal Code: | 11972 |
| Phone Number: | 6312896223 |
| Fax Number: | 6312897473 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 03/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 9266L001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |